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Individual

MR. DAVID LESLIE FATH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
P.T.

Contact information

Practice address
2200 SW GAGE BLVD, TOPEKA, KS 66622-0001
(785) 350-3111
(785) 350-4458
Mailing address
2200 SW GAGE BLVD, TOPEKA, KS 66622-0001
(785) 350-3111
(785) 350-4458

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-01287
KS

Other

Enumeration date
05/16/2014
Last updated
05/16/2014
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